New Page 1

Grievance Feedback Form 

Your Name:
Your email:
Address for Correspondence :  
Pin Code :  
Type of Complain: PMRY
Issue of PRC [Provisional Regd]/PMT [Permanent Regd.]
Name of the Office/Officer against which complain is logged
Details of Grievance:
All fields are compulsory

I hereby declare that the statement made above is true to the best of my knowledge & belief.